MADISON BIRDNO
NPI 1114534369
Clinical Nurse Specialist - Family Health in Jonesboro, AR

NPI Status: Active since September 30, 2020

Contact Information

303 E MATTHEWS AVE STE 202
JONESBORO, AR
ZIP 72401
Phone: (870) 207-7566

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  • Individual
  • Female
  • Clinical Nurse Specialist
  • Family Health
  • Accepts Insurance
  • PECOS Enrolled

About MADISON BIRDNO

This page provides the complete NPI Profile along with additional information for Madison Birdno, a provider established in Jonesboro, Arkansas with a medical specialization in Clinical Nurse Specialist, focusing in family health . The healthcare provider is registered in the NPI registry with number 1114534369 assigned on September 2020. The practitioner's primary taxonomy code is 364SF0001X with license number 213142 (AR). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1114534369
Provider Name
MADISON BIRDNO
Gender
Female
Entity Type
Individual
Location Address
303 E MATTHEWS AVE STE 202 JONESBORO, AR 72401
Location Phone
(870) 207-7566
Mailing Address
303 E MATTHEWS AVE STE 202 JONESBORO, AR 72401
Mailing Phone
(870) 207-7555
Is Sole Proprietor?
No
Enumeration Date
09-30-2020
Last Update Date
09-30-2020
Code Navigator

A Clinical Nurse Specialist (CNS) like Madison Birdno is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Nurse Specialist Family Health

Taxonomy Code
364SF0001X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
213142
License State
AR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Exp Standardized - PPO
  • Bronze Value - PPO
  • Catastrophic HSA - PPO
  • Gold Standardized - PPO
  • Gold Value - PPO
  • Silver AH - PPO
  • Silver Standardized - PPO
  • Dental Gold - PPO
  • Dental Gold Plus Vision - PPO
  • Dental Pediatric - PPO
  • Dental Platinum - PPO
  • Dental Platinum Plus Vision - PPO
  • Dental Platinum Premium - PPO
  • Dental Platinum Premium Plus Vision - PPO
  • Dental Silver - PPO
  • HA Bronze Exp Standardized - POS
  • HA Bronze National - POS
  • HA Gold Premier National - POS
  • HA Gold Standardized - POS
  • HA Platinum Premier National - POS
  • HA Platinum Standardized - POS
  • HA Silver AH - POS
  • HA Silver Standardized - POS
  • Octave Bronze Exp Standardized - POS
  • Octave Bronze Value - POS
  • Octave Gold Classic National - POS
  • Octave Gold Standardized - POS
  • Octave Silver AH - POS
  • Octave Silver Standardized - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Madison Birdno is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE000N)

    Nebulizer, with compressor (HCPCS:E0570)

    2 DME suppliers used 19 Medicare Claims 19 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 37 times for 32 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 70 times for 45 patients

Telephone medical discussion with physician, 5-10 minutes

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

This service was performed 19 times for 14 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 72401 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $119.36
  • Minimum New Patient Price $51.36
  • Maximum New Patient Price $157.74
  • Average New Patient Copayment $29.84
  • Minimum New Patient Copayment $12.84
  • Maximum New Patient Copayment $39.43

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $91.63
  • Minimum Established Patient Price $16.16
  • Maximum Established Patient Price $128.77
  • Average Established Patient Copayment $22.9
  • Minimum Established Patient Copayment $4.04
  • Maximum Established Patient Copayment $32.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MADISON BIRDNO

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114534369, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 5 → 10 → 1 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 0 + 3 + 8 + 3 + 1 + 2 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1114534369.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Internal Medicine (Geriatric Medicine)
303 E MATTHEWS AVE STE 202
JONESBORO, AR 72401
Internal Medicine (Geriatric Medicine)
303 E MATTHEWS AVE STE 202
JONESBORO, AR 72401
Internal Medicine (Geriatric Medicine)
303 E MATTHEWS AVE STE 202
JONESBORO, AR 72401
Nurse Practitioner (Family)
303 E MATTHEWS AVE STE 202
JONESBORO, AR 72401
Nurse Practitioner (Family)
303 E MATTHEWS AVE STE 202
JONESBORO, AR 72401
Nurse Practitioner (Family)
303 E MATTHEWS AVE STE 202
JONESBORO, AR 72401
Clinical Nurse Specialist (Adult Health)
303 E MATTHEWS AVE STE 202
JONESBORO, AR 72401
Psychiatry & Neurology (Neurology)
303 E MATTHEWS AVE STE 202
JONESBORO, AR 72401
Nurse Practitioner (Family)
303 E MATTHEWS AVE STE 202
JONESBORO, AR 72401
Nurse Practitioner (Family)
303 E MATTHEWS AVE STE 202
JONESBORO, AR 72401
Family Medicine
303 E MATTHEWS AVE STE 202
JONESBORO, AR 72401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114534369, enumerated as an "individual" on September 30, 2020.

The provider is located at 303 E MATTHEWS AVE STE 202 JONESBORO, AR 72401 and the phone number is (870) 207-7566.

Clinical Nurse Specialist with taxonomy code 364SF0001X and a focus in Family Health.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.